NPI | 1063766681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: ND R18130) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MN R162879-5) |
Enumeration Date | 2012-11-05 |
Last Update Date | 2012-11-05 |